Organization
MK OPTOMETRIST PC
Active
Other names
Advanced Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KAKZANOV O.D. (PRESIDENT)
(718) 268-4040
Entity
Organization
Contact information
Practice address
7221 AUSTIN ST, FOREST HILLS, NY 11375-5354
(718) 268-4040
(718) 268-4099
Mailing address
7221 AUSTIN ST, FOREST HILLS, NY 11375-5354
(718) 268-4040
(718) 268-4099
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
006662
NY
Other
Enumeration date
10/17/2007
Last updated
06/07/2021
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